| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,125 |
18,357 |
$1.02M |
| 99205 |
Prolong outpt/office vis |
758 |
630 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,206 |
983 |
$41K |
| 77080 |
|
467 |
340 |
$15K |
| 94060 |
|
441 |
377 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,181 |
817 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
129 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,705 |
1,129 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
103 |
96 |
$7K |
| 93923 |
|
130 |
78 |
$6K |
| 90686 |
|
553 |
384 |
$6K |
| 92250 |
|
232 |
158 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
54 |
$5K |
| 90674 |
|
344 |
262 |
$5K |
| 82570 |
|
1,418 |
971 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
51 |
$3K |
| 82962 |
|
1,722 |
1,152 |
$2K |
| 82044 |
|
1,414 |
967 |
$2K |
| 90688 |
|
223 |
126 |
$2K |
| 96160 |
|
112 |
91 |
$1K |
| 81003 |
|
1,028 |
692 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
747 |
607 |
$1K |
| 99385 |
|
15 |
14 |
$1K |
| H0049 |
Alcohol and/or drug screening |
159 |
131 |
$405.00 |
| 90656 |
|
23 |
18 |
$285.26 |
| 73551 |
|
49 |
23 |
$211.64 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
141 |
83 |
$114.91 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
630 |
491 |
$80.89 |
| G0008 |
Administration of influenza virus vaccine |
47 |
17 |
$21.01 |
| 3044F |
|
384 |
244 |
$20.06 |
| 3074F |
|
3,666 |
2,686 |
$1.21 |
| 3078F |
|
2,954 |
2,184 |
$0.96 |
| 3079F |
|
1,903 |
1,428 |
$0.82 |
| 3075F |
|
1,099 |
830 |
$0.49 |
| 3077F |
|
361 |
263 |
$0.22 |
| 3080F |
|
165 |
108 |
$0.14 |
| 3046F |
|
31 |
16 |
$0.02 |
| 3023F |
|
350 |
305 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
700 |
378 |
$0.00 |
| 3288F |
|
175 |
107 |
$0.00 |
| 3015F |
|
25 |
17 |
$0.00 |
| 2022F |
|
440 |
310 |
$0.00 |
| 3095F |
|
330 |
247 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
175 |
94 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
259 |
145 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
397 |
224 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
126 |
61 |
$0.00 |
| 1124F |
|
35 |
30 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
86 |
56 |
$0.00 |
| 1159F |
|
30 |
26 |
$0.00 |
| 3511F |
|
22 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
288 |
156 |
$0.00 |
| 1090F |
|
70 |
44 |
$0.00 |
| G9509 |
Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 |
80 |
34 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
50 |
42 |
$0.00 |
| 4035F |
|
406 |
337 |
$0.00 |
| 1158F |
|
30 |
26 |
$0.00 |
| 1160F |
|
30 |
26 |
$0.00 |
| 3725F |
|
47 |
35 |
$0.00 |
| 4040F |
|
25 |
14 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
50 |
30 |
$0.00 |
| 4004F |
|
20 |
12 |
$0.00 |
| 3045F |
|
78 |
49 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
24 |
12 |
$0.00 |
| 1036F |
|
583 |
333 |
$0.00 |
| 1123F |
|
769 |
448 |
$0.00 |
| 0513F |
|
125 |
108 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
689 |
383 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
531 |
302 |
$0.00 |
| 3061F |
|
52 |
44 |
$0.00 |
| 1006F |
|
74 |
42 |
$0.00 |
| 1170F |
|
93 |
51 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
268 |
175 |
$0.00 |
| 3017F |
|
277 |
166 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
182 |
121 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
234 |
109 |
$0.00 |
| 3008F |
|
938 |
514 |
$0.00 |
| 1157F |
|
32 |
27 |
$0.00 |
| 1126F |
|
72 |
37 |
$0.00 |
| 3014F |
|
17 |
14 |
$0.00 |
| 1101F |
|
188 |
112 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
124 |
70 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
41 |
16 |
$0.00 |